Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Christine M Anderson Jacob, PHD, LP

Individual provider Counseling Psychologist · NPI 1184828204

Dr. Christine M Anderson Jacob, PHD, LP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2003, 23 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2124 Dupont Ave S Ste 300
Minneapolis, MN 55405-2735
Phone: (612) 879-1010
Fax: (612) 879-0059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 4727 (MN)

Record details

NPI number1184828204
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESMay 27, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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